Individual provider Active NPI

Johnnie Maurice Woodson III

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
National Provider Identifier
1750960449
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
76669 Issued in AZ
Practice address
775 E Willetta St
Phoenix, AZ 85006-2723
Phone
(480) 581-3900
NPI assigned
Apr 7, 2021
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Student in an Organized Health Care Education/Training Program 390200000X RS2021-0402 NM
Physical Medicine & Rehabilitation Physician 208100000X 76669 AZ Primary

Addresses

Primary practice location

775 E Willetta St
Phoenix, AZ 85006-2723

Mailing address

1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428

Other practice location 1

1 University Of New Mexico Msc10 5550
Albuquerque, NM 87131-0001
Phone (505) 272-6331

Other practice location 2

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

Other identifiers 1

IdentifierTypeStateIssuer
238055MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618001904 AZ Practitioner - Physical Medicine and Rehabilitation 8527579325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians
Post-Acute Physicians of Arizona PLLCGroup PAC ID 6406086438, 10 clinicians

Practice addresses (Care Compare)

2225 W Southern Ave
Suite a
Mesa, AZ 85202-4716
Phone (623) 888-3502

775 E Willetta St
Phoenix, AZ 85006-2723
Phone (877) 749-7428

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RS2021-0402NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Post-Acute Physicians of Arizona PLLC Physical Medicine & Rehabilitation CurrentSince Jun 2, 2025 Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

Locations

1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

4202 N 20th Ave
Phoenix, AZ 85015
Phone (602) 264-3824

775 E Willetta St
Phoenix, AZ 85006
Phone (480) 581-3900

9494 E Becker Ln
Scottsdale, AZ 85260
Phone (480) 331-7702

1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100

Interoperability endpoints

  • Direct secure messaging: jwoodson702135@ahs.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1750960449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062723",
            "telephone_number": "480-581-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Of New Mexico Msc10 5550",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-6331",
            "fax_number": "505-272-0475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "JOHNNIE",
        "middle_name": "MAURICE",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2021-0402",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "76669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238055",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.